<![CDATA[Introduction: It is estimated that two-thirds of hypertension cases occur in Low-Middle Income Countries (LMICs), and 46% of individuals with hypertension are unaware of their condition. Early detection and effective management of hypertension are crucial for reducing its burden. Aims: This study aims to determine the progression time, the status of hypertension, and the factors that influence it. Methods: This study employed a longitudinal design. Secondary data was collected by 5 Poksila at the Kedungmundu Public Health Center in Semarang. This data was taken from January 2022 to August 2023 as 20 periods and analyzed using survival analysis. Results: A total of 332 participants were included in the analysis. Most of the participants were women (88.66%), aged 45-59 years old (47.29%), obese (40.6%), and at risk due to waist circumference (77.01%). As many as 66.27% of participants experienced an increase in hypertension status from the previous month. The transition from normal blood pressure to pre-hypertension was the most significant, occurring in 61.82% of participants. The survival rate was 50% in the elderly male group (7.31±4.82 months) and in the female group (5.75±4.25 months). Multivariate Cox regression analysis indicated that sex was associated with the progression of hypertension (HR 95% CI = 1.67 (1.03-2.69), p=0.03). Conclusion: Elderly males had a longer survival rate compared to females. Females are at higher risk of progression of hypertension. These findings highlight the need for targeted interventions to manage hypertension effectively based on sex and other risk factors. Routine monitoring for the elderly is essential as a primary preventive measure for hypertension.]]>
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